Health inspection·May 21, 2025

F 0839 Employ staff that are licensed, certified, or registered in accordance with state laws. Level of Harm - Minimal harm or potential for actual harm Based on interview and record review, the facility failed to ensure one of three Licensed Vocational Nurses (LVN 2) license was active. Residents Affected - Some This deficient practice resulted in LVN 2 working 61 shifts with an inactive license. Findings: During a review of a letter from the California Department of Consumer Affairs Board of Vocational Nursing and Psychiatric Technicians (BVNPT) dated 5/6/2025, the letter indicated as of 2/1/2025 LVN 2's license was inactive due to failure to renew, and as of 5/6/2025, LVN 2's license was currently inactive. During a review of LVN 2's Employee Time Details (Timecard) dated 2/2025, the Timecard indicated LVN 2 worked a total of 18 shifts from 2/1/2025 to 2/28/2025. During a review of LVN 2's Timecard dated 3/2025, the Timecard indicated LVN 2 worked a total of 20 shifts from 3/1/2025 to 3/31/2025. During a review of LVN 2's Timecard dated 4/2025, the Timesheet indicated LVN 2 worked a total of 20 shifts from 4/1/2025 to 4/30/2025. During a review of LVN 2's Timecard dated 5/2025, the Timecard indicated LVN 2 worked a total of three shifts from 5/1/2025 to 5/31/2025. LVN 2 worked a total of 61 shifts with an inactive license from 2/1/2025 to 5/3/2025. During a review of the facility's License Nursing Staff Schedule dated 5/2025, LVN 2 was take off the schedule on 5/6/2025. During an interview on 5/21/2025 at 12:47 p.m. with the DON, the DON stated that she received a phone call by the Enforcement Analyst (EA) at the BVNPT on 5/6/2025, notifying her that LVN 2's license was inactive. The DON stated that the facility's Human Resources (HR) department is to verify employee licenses upon hiring and monthly. HR is supposed to notify the facility of when a license is nearing the expiration date or if an employee has an inactive license. The DON stated she not to be aware of what happened with the untimely verification of LVN 2's license. The DON stated LVN 2 was taken off the schedule on 5/6/2025 after being notified by the EA that LVN 2 was working with an inactive license. The DON stated that when she spoke to LVN 2, LVN 2 stated she accidentally clicked on the inactive button instead of clicking on the renewal button. The DON stated that LVN 2 should not Page 1 of 2 055894 055894 05/21/2025 Broadway by the Sea 2725 E. Broadway Long Beach, CA 90803

F 0839 have worked in the facility with an inactive license. Level of Harm - Minimal harm or potential for actual harm During an interview on 5/21/2025 at 1:21 p.m. with LVN 2, LVN 2 stated she was unaware of her license being inactive and was notified of by the facility's DON on 5/6/2025. LVN 2 stated when she renewed her license in 1/2025, she accidentally clicked on the inactive button instead of clicking on the renewal button. LVN 2 stated she did not bother to follow up to make sure her license was renewed or active was because her payment went through. LVN 2 confirmed that she worked as an LVN from 2/1/2025 to 5/3/2025. LVN 2 stated she was immediately taken off the schedule on 5/6/2025 and was not able to return to work until her license was active. Residents Affected - Some During a review of the facility's policy and procedure (P&P) titled, Verification of Licenses, revised 4/2004. The P&P indicated that it is the policy of the company to verify that all employees in positions which require licensure of certification have a current license or the authorization to practice in the state(s) in which they work. The purpose of this policy is to ensure that the company is in compliance with all licensing and certification requirements. The scope of this policy applies to all company employees in licensed and certified positions. The department manger or designee should monitor expiration dates of all licenses and credentials and notify employees in advance of such dates. The department of manager or designee should contact the appropriate agency to verify the license or certification. When renewed, the copy of the valid license/certification and/or a verification form will be added to the personnel filed by the department manager or a designee. During a review of the facility's LVN Job Description, dated 12/17/2021, the Job Description indicated the LVN must possess an active license to practice as an LVN or a Licensed Practical Nurse valid in this state. 055894 Page 2 of 2